Blueberry muffin baby with acute myeloid leukemia and spontaneous remission | Zendy

YaWen Hsiao | Zendy; FangWen Tseng | Zendy; Yi-Ling Shih | Zendy; Tsengtong Kuo | Zendy; TangHer Jaing | Zendy; Rosaline ChungYee Hui | Zendy

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Blueberry muffin baby with acute myeloid leukemia and spontaneous remission

Author(s) -

YaWen Hsiao,

FangWen Tseng,

Yi-Ling Shih,

Tsengtong Kuo,

TangHer Jaing,

Rosaline ChungYee Hui

Publication year - 2011

Publication title -

dermatologica sinica

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.604

H-Index - 17

eISSN - 2223-330X

pISSN - 1027-8117

DOI - 10.1016/j.dsi.2011.01.005

Subject(s) - medicine , myeloid leukemia , complete remission , spontaneous remission , myeloid , oncology , pathology , alternative medicine , chemotherapy

Blueberry muffin baby is a rare neonatal skin disorder. Causes for the generalized hemorrhagic purpuric eruptions include congenital infections, hemolysis, and tumors. We report a 2.5-month-old female baby with a blueberry muffin appearance, respiratory distress, and decreased activity and appetite. Skin biopsy showed diffuse infiltrates of myeloperoxidase- and lysozyme-positive blast-like cells in dermis and superficial subcutis. Bone marrow study confirmed the diagnosis of acute monocytic leukemia with leukemia cutis. The skin nodules regressed spontaneously without chemotherapy over several days, and the peripheral blood cell counts normalized. This spontaneous remission lasted for 2 months. Spontaneous remission of infantile leukemia is rare, and its mechanism remains unknown. Although overt leukemia relapsed in some of these patients, a delay in chemotherapy spared these infants of the toxic effects of treatment

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